DR. FAYE E RAO (NPI# 1508883133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508883133 |
| Entity Type | Individual |
| Full Name | DR. FAYE E RAO |
| Other Name | FAYE E LIALIOS |
| Credential | MD |
| Practice Address |
4300 W. Main Street Suite 102 Dothan AL 36305 |
| Practice Telephone | 3347939564 |
| Practice Fax Number | 3346718907 |
| Mailing Telephone | 3347939564 |
| Mailing Fax Number | 3346718907 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
29578 | AL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2005016792 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO-BLUE SHIELD | 199938 | 01 | |
| MO | 207422809 | 05 |
| Street Address |
4300 W. MAIN STREET SUITE 102 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932250339 | Peter M Rao | Internal Medicine | 4300 W. Main Street, Suite 102, Dothan, AL 36305 | 2007-01-15 |
| 1710080338 | Mary Grace Magalong | Internal Medicine | 4300 W. Main Street, Suite 102, Dothan, AL 36305-1051 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674098 | Jamie Torres | Internal Medicine | 1118 Ross Clark Cir Ste 403, Dothan, AL 36301-3038 | 2019-08-15 |
| 1922087071 | Nelson Gwinn IIi | Internal Medicine | 1150 Ross Clark Cir, Dothan, AL 36301-3022 | 2006-01-16 |
| 1033596515 | Premier Cardiology Consultants Inc | Internal Medicine | 1118 Ross Clark Cir, Ste 704, Dothan, AL 36301-3001 | 2015-05-04 |
| 1467788463 | Cardiology Associates, Pa | Internal Medicine | 1118 Ross Clark Cir, Suite 501, Dothan, AL 36301-3041 | 2009-10-26 |
| 1790987238 | Hearts South, PC | Internal Medicine | 1118 Ross Clark Cir, Suite 403, Dothan, AL 36301-3001 | 2007-06-05 |
| 1285790915 | Southeast Cardiology Clinic Inc. | Internal Medicine | 1150 Ross Clark Cir, Dothan, AL 36301-3022 | 2006-12-28 |
| 1700831047 | Darius G Aliabadi | Internal Medicine | 1118 Ross Clark Cir, Suite 403, Dothan, AL 36301-3001 | 2006-05-24 |
| 1952360406 | Nidal A Yunis | Internal Medicine | 1150 Ross Clark Cir, Dothan, AL 36301-3022 | 2006-03-22 |
| 1083694665 | Thomas Young | Internal Medicine | 1150 Ross Clark Cir, Dothan, AL 36301-3022 | 2006-01-19 |
| 1922088798 | Cardiology Associates, Pa | Internal Medicine | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2006-01-18 |
| Find all providers in DOTHAN | ||||
Please comment or provide details below to improve the information on DR. FAYE E RAO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.